| 119상황요원 보조에 의한 목격자 조기 심폐소생술이 심정지 환자 자발순환회복 및 좋은 신경학적 예후에 미치는 영향 |
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박정승1 
, 조근자2
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1충청남도 보령소방서 구급대원
2국립공주대학교 응급구조학과 교수 |
| Effects of early bystander CPR assisted by 119 dispatchers on return of spontaneous circulation and neurological outcomes in patients of cardiac arrest |
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| Jeung-Seung Park1
, Keun-Ja Cho2
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1Paramedic, Boryeong Fire Station, Chungcheongnam-do
2Professor, Department of Emergency Medical Service, Kongju National University |
Correspondence
Keun-Ja Cho ,Tel: +82-41-850-0333, Fax: +82-41-850-0331, Email: kjcho@kongju.ac.kr
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Submitted: October 30, 2024 Accepted after revision: December 19, 2024 |
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| Abstract |
Purpose
This study aimed to verify the effectiveness of dispatcher-assisted cardiopulmonary resuscitation (CPR) by analyzing the effect of bystander cardiopulmonary resuscitation on the return of spontaneous circulation (ROSC) and neurological outcomes in patients of cardiac arrest.
Methods
A total of 2,329 the emergency medical services reports were collected for non-traumatic patients of cardiac arrest aged 15 and older, attended by 119 paramedics from Fire Department C from January 1, 2019 to December 31, 2021. Additionally, we collected data on the performance of CPR by bystanders and heart avers. Data were analyzed using SPSS version 29.0.
Results
Dispatcher-assisted (DA) CPR was performed in 70.3% of subjects. Compared with no CPR, DA-CPR was 1.567 times (p=.026) higher likelihood of return of spontaneous circulation and 1.889 times (p=.076) higher likelihood of improved neurological outcomes. Compared with no CPR, spontaneous CPR (SP-CPR) resulted in a 2.642 times (p=.000) higher likelihood of return of spontaneous circulation, and a 3.363 times higher likelihood of improved neurological outcomes (p=.002).
Conclusion
The operation of DA-CPR and CPR training opportunities for bystanders should be expanded. |
| Keywords:
Cardiac arrest, Dispatcher, Bystander, Paramedic, ROSC |
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